| NPI | 1073385613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW FINLEY Program Director 443-869-4909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |