NPI | 1710562244 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY MARTIN DIGGS CEO 443-627-3593 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2021-03-16 |
Last Update Date | 2021-03-16 |