| NPI | 1033578893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN OLIVER Treasurer & Controller 410-778-1099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2024-11-13 |