| NPI | 1255957296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA TAYLOR Chief Information Officer 443-839-5997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-12-09 |