NPI | 1679209621 |
---|---|
Entity Type | Organization |
Authorized Contact | DEION CAISON CEO 443-204-2290 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-07-30 |
Last Update Date | 2022-08-02 |