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 |