| NPI | 1023757838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ODENWALD VP 443-481-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-09-13 |