| NPI | 1174210496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JAMES Administrative Director 410-622-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QM0801X | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 283Q00000X Psychiatric Hospital | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |