| NPI | 1235748468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADSON INNOCENT NWANNA President And CEO 410-419-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |