| NPI | 1316283823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAILE LEONARD Executive Director 443-414-7562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 904858) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2023-05-24 |