NPI | 1629629670 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID HENRY THOMPSON CEO 410-800-4226 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2019-09-21 |
Last Update Date | 2021-02-26 |