| NPI | 1285505735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER L BLACK CEO 410-260-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-24 |