| NPI | 1265008114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY MAURICE LAWS Administrator 410-255-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |