| NPI | 1538701669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MICHAEL BARBOZA President 443-469-7438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2021-05-04 |