| NPI | 1245568757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY FLEETWOOD President 410-787-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 903237) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2020-12-08 |