| NPI | 1093761017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANN CORWELL Administrator 410-566-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: MD 30014) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |