NPI | 1760175343 |
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Doing Business As | H.O.M.E. THERAPEUTIC SERVICES |
Entity Type | Organization |
Authorized Contact | SAMANTHA LACHELLE JACKSON COO 410-275-0994 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-05-31 |
Last Update Date | 2023-05-31 |