NPI | 1760057517 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY THOMPSON CEO 443-473-5771 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-05-24 |
Last Update Date | 2023-06-07 |