| NPI | 1104133925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAMS HATHAWAY CEO 410-962-7180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |