| NPI | 1134707631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MOSES President 410-292-0130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-08-12 |