| NPI | 1114330719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN ENYINDAH CHUKU Administrator 410-585-9019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |