NPI | 1700697877 |
---|---|
Other Name | RESIDENTIAL SUD ADULTS |
Entity Type | Organization |
Authorized Contact | ERIC KOWSHOH YENCHI Owner 240-643-1063 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2025-01-16 |
Last Update Date | 2025-01-16 |