| NPI | 1083918940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA CLENDANIEL Counselor 410-860-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD SC1659) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |