| NPI | 1639740418 |
|---|---|
| Other Name | PSYCHIATRIC REHABILITATION PROGRAM (PRP) |
| Entity Type | Organization |
| Authorized Contact | TRINA JOHNSON C Eo 443-470-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-09-20 |