| NPI | 1578050860 |
|---|---|
| Doing Business As | VILLA MARIA SUD- MT MARYLAND LEVEL 1 |
| Entity Type | Organization |
| Authorized Contact | GLORIA REEVES A/R Billing And Systems Mgr 667-600-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2021-08-30 |