| NPI | 1144936121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BOONE Administrative Director 410-366-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-03-15 |