NPI | 1902437916 |
---|---|
Entity Type | Organization |
Authorized Contact | LELA CAMPBELL Clinical Supervisor 443-904-8216 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
Enumeration Date | 2020-01-29 |
Last Update Date | 2023-06-14 |