| NPI | 1083012413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DUKES CEO 443-831-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |