| NPI | 1780324053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BITALO ISAAC CEO/Founder 443-783-2712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-06-24 |