NPI | 1518643782 |
---|---|
Entity Type | Organization |
Authorized Contact | TAUHEAD BURKE Owner/President 443-570-3075 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 251S00000X |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2023-06-23 |
Last Update Date | 2023-06-23 |