| NPI | 1598617508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA YVETTE COOMBS CEO 443-829-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-02-11 |
| Last Update Date | 2026-08-20 |