| NPI | 1184695744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN REESE Executive Director 410-837-4292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: MD 900128) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD MH-1870) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD MH-1858) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 905345) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2016-02-22 |