NPI | 1477333995 |
---|---|
Doing Business As | SHALOM TREATMENT CENTER LLC |
Entity Type | Organization |
Authorized Contact | SCOVIA BASALIZA Chief Executive Officer 240-559-7617 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-10-02 |
Last Update Date | 2023-10-02 |