| NPI | 1285765636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE P GORDON Therapist 410-221-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MD 5337) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-08-14 |