| NPI | 1497579437 |
|---|---|
| Doing Business As | PATRICIA'S PLACE INC |
| Entity Type | Organization |
| Authorized Contact | TIFFANI A WILSON CEO 443-468-1816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |