| NPI | 1518563022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL BRAXTON Owner 443-882-1943 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2021-01-07 |