| NPI | 1265659775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL D WEBER C.E.O. 443-625-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-03-16 |