| NPI | 1487314100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY ROYSTER-BENNETT CEO 443-226-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |