| 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 |