| NPI | 1174556153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE JOYCE WEISHAAR Receptionist 410-848-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |