| NPI | 1316596265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NZINGA CONAWAY CEO 410-961-9943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 283Q00000X Psychiatric Hospital | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2022-04-07 |