| NPI | 1073864229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA A BROWN Program Director 410-982-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2021-11-15 |