| NPI | 1093250235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HENRY Vice President 410-301-9162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 5000000000990548) |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2021-10-11 |