NPI | 1194205450 |
---|---|
Entity Type | Organization |
Authorized Contact | VANESSA LYLE Senior Billing Clerk 410-467-5291 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD BH000896) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD BH000897) |
324500000X Substance Abuse Rehabilitation Facility (Licence: MD 904734) | |
Enumeration Date | 2018-08-16 |
Last Update Date | 2018-11-01 |