| 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 |