| NPI | 1083049548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAEHR Medical Director 410-230-3217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 1273812) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |