| NPI | 1740973999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RENEE WHITE CEO 443-801-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |