NPI | 1538054770 |
---|---|
Entity Type | Organization |
Authorized Contact | BERNARD DANIEL KENLY Owner/Manager 443-915-3632 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2025-06-10 |
Last Update Date | 2025-06-10 |