| NPI | 1306472964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKIA THOMPSON CEO 443-315-5007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |