| NPI | 1215587027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GALAHER Program Sponsor 410-991-5687 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2025-08-13 |