| NPI | 1962277640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE MOUNTAIN Director Of Compliance 443-204-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2024-01-30 |