NPI | 1851124457 |
---|---|
Entity Type | Organization |
Authorized Contact | MAGNUS EZEANI CEO 443-220-1645 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-08-21 |
Last Update Date | 2024-10-21 |