| NPI | 1124502653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFINI DAVIS Director Of Behavioral Health 443-889-5265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |