| NPI | 1922730282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTEL MANNING Facility Manager And CFO 443-418-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 174200000X |
| 251S00000X | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |