| NPI | 1639801806 |
|---|---|
| Doing Business As | HSOM - CLIFTON PARK |
| Entity Type | Organization |
| Authorized Contact | CENNA BROOKS-BYERS Ce) 443-882-8307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2023-06-12 |