| NPI | 1568115616 |
|---|---|
| Doing Business As | DSTND4GR8NS LLC |
| Entity Type | Organization |
| Authorized Contact | RONALD E. SATTERFIELD CEO 443-768-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2023-01-26 |