| NPI | 1225113061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MACCHIO Credentialing Manager 410-320-5082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MD 903583) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2025-05-05 |