| NPI | 1144236977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ELLIS President 410-296-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MD 12463) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |