NPI | 1619687100 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA J MCCARTHY Managing Partner 443-890-4309 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2022-11-25 |
Last Update Date | 2025-08-03 |