| NPI | 1467285510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA DANELLE MYERS-POPE CEO/Owner 443-402-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2025-02-04 |