| NPI | 1699491019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA MILBOURNE Clinical Director / Owner 410-831-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2023-12-27 |