| NPI | 1750267977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA BOWSER CEO 443-722-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |