| NPI | 1073149183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE JOHNSON Chief Operating Officer 410-272-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |