| NPI | 1770239022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW A HARPER Co CEO 443-220-6512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |