| NPI | 1114968732 |
|---|---|
| Doing Business As | MOUNTAIN MANOR ADULT OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | BARBARA GROVES Executive Vice President 410-233-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 12524) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-09-06 |