| NPI | 1437841665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RENEE WHITE CEO 443-801-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-07-24 |