| NPI | 1780251843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN TIMMONS Chief Compliance Officer 443-844-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2022-10-06 |