NPI | 1073093514 |
---|---|
Entity Type | Organization |
Authorized Contact | FAYTHE JOHNSON Vice President Billing 410-276-1773 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2018-08-15 |
Last Update Date | 2018-08-15 |