| NPI | 1063209963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW FINLEY Executive Director 443-869-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-23 |