| NPI | 1912684085 |
|---|---|
| Doing Business As | RESIDENTIAL CLIFTON PARK SITE |
| Entity Type | Organization |
| Authorized Contact | MAURICE ANTHONY BYERS Co CEO 443-882-8307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |