| NPI | 1760085096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALISTA CHANA CEO 410-878-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2021-08-16 |