| NPI | 1821697640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEE SPENCER Owner 443-759-8601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |