| NPI | 1568185965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WHITE CEO 443-801-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 177F00000X Lodging |
| 251S00000X | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |