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 |
Enumeration Date | 2022-11-25 |
Last Update Date | 2024-02-23 |