NPI | 1336700061 |
---|---|
Entity Type | Organization |
Authorized Contact | FAYTHE JOHNSON VP Tx Coordination & Billing 410-276-1773 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-06-24 |
Last Update Date | 2019-06-24 |