| NPI | 1326846999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEINA KEONTYE CAMPBELL-BORDLEY Co Owner 443-942-6178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |