NPI | 1770057317 |
---|---|
Entity Type | Organization |
Authorized Contact | FAYTHE JOHNSON VP Tx Coordination & Billing 443-974-3027 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-01-16 |
Last Update Date | 2019-01-16 |