NPI | 1871060293 |
---|---|
Entity Type | Organization |
Authorized Contact | LEWIS EVANS CEO 443-386-7540 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2018-10-24 |
Last Update Date | 2018-10-24 |