| NPI | 1306659057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA NICHOLE MILBOURNE Owner 410-831-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |