| NPI | 1134550445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH TRACY COLLINS President And CEO 410-617-8026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2014-09-18 |