NPI | 1801427687 |
---|---|
Doing Business As | INNOVO DETOX |
Entity Type | Organization |
Authorized Contact | SAMUEL BIERMAN CEO 410-773-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2020-01-30 |
Last Update Date | 2024-03-13 |