NPI | 1316483415 |
---|---|
Entity Type | Organization |
Authorized Contact | LEONID CHERNYAKHOVSKY Owner 443-938-4401 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2017-01-12 |
Last Update Date | 2017-01-12 |