NPI | 1851480065 |
---|---|
Other Name | NEW DOMINION MARYLAND RESIDENTIAL TREATMENT PROGRAM |
Entity Type | Organization |
Authorized Contact | BROOKE E BALCH CFO 256-880-3339 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MD DJS license no #) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2010-02-25 |