NPI | 1437864519 |
---|---|
Doing Business As | ONE PROMISE HALFWAY HOUSE-RASPE AVVENUE |
Entity Type | Organization |
Authorized Contact | CRAIG HOWARD LIPPENS Program Administrator 410-382-0528 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-01-23 |
Last Update Date | 2023-01-23 |