| NPI | 1437624749 |
|---|---|
| Former Legal Business Name | CREATED FOR GREATER PSYCHIATRIC REHABILITATION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LAKIA THOMPSON CEO 443-315-5007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |