NPI | 1629769088 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON T DAVIS Owner 410-413-4108 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
324500000X Substance Abuse Rehabilitation Facility | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2023-05-17 |
Last Update Date | 2023-05-17 |