| NPI | 1033875802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HERRON Vice President 410-227-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2022-04-21 |