| 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 |