| NPI | 1710743430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIRA DUNN Chief Executive Officer 443-653-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |