| NPI | 1932704111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NURA HILL CEO 410-802-0373 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2023-04-27 |