NPI | 1598580599 |
---|---|
Former Legal Business Name | CHATFORD MANOR BEHAVIORAL SERVICES LLC |
Entity Type | Organization |
Authorized Contact | TEMI SIMILADE WELLS CEO 443-960-1497 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-11-15 |
Last Update Date | 2024-11-15 |