| NPI | 1861265720 |
|---|---|
| Former Legal Business Name | AMAZIN RECOVERY TREATMENT SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | PAMELA C JOHNSON Owner 443-376-5785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |