NPI | 1881276418 |
---|---|
Entity Type | Organization |
Authorized Contact | CHIMERE BECOTE Owner 410-805-9464 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QR0400X Clinic/Center, Rehabilitation | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
324500000X Substance Abuse Rehabilitation Facility | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2021-04-23 |
Last Update Date | 2023-02-21 |