| NPI | 1881531804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA MATTHEWS COO 443-726-6075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-04-29 |
| Last Update Date | 2026-04-29 |