| NPI | 1285168534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN E CARLONI Executive Director 410-535-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |