NPI | 1912784620 |
---|---|
Doing Business As | GOODNESS AND MERCY LLC |
Entity Type | Organization |
Authorized Contact | LATICA NACOLE LAMAR Program Manager 443-708-2976 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-09-14 |
Last Update Date | 2023-11-20 |