NPI | 1295503928 |
---|---|
Entity Type | Organization |
Authorized Contact | VENESA JOHNSON DAY Compliance Officer 443-219-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-12-12 |
Last Update Date | 2023-12-12 |