| NPI | 1255607842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER D'SOUZA Executive Director 410-923-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 904337) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2013-04-18 |