| NPI | 1033578893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL L COOPER Chief Financial Officer 410-778-2468 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2022-01-21 |