NPI | 1659111417 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA DAWODU CEO 410-967-9202 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-07-02 |