| 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 |