| NPI | 1134243603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL D WEBER CEO 443-625-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD 2154) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: MD 2170) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |