| NPI | 1760175343 |
|---|---|
| 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 |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |