| NPI | 1639985757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA JACKSON CEO 443-442-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |