| NPI | 1811605447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SCOTT Owner 443-992-3768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2023-03-16 |