| NPI | 1619739273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SMITH CEO 240-644-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |