| NPI | 1720851694 |
|---|---|
| Former Legal Business Name | AMAZIN RECOVERY TREATMENT SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | PAMELA C JOHNSON Owner 443-376-5785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |