NPI | 1962194605 |
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Doing Business As | H.O.M.E. THERAPEUTIC SERVICES |
Entity Type | Organization |
Authorized Contact | SAMANTHA LACHELLE JACKSON COO 410-275-0994 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-05-22 |
Last Update Date | 2023-06-13 |