NPI | 1386390532 |
---|---|
Entity Type | Organization |
Authorized Contact | KETTY M NGONA CEO 443-465-9958 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2022-02-25 |
Last Update Date | 2022-02-25 |