NPI | 1871092163 |
---|---|
Entity Type | Organization |
Authorized Contact | UWAGBALE JUDE OIGBOKIE Administrator 443-653-0074 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MD MH-2457) |
Enumeration Date | 2018-02-01 |
Last Update Date | 2024-02-21 |