| NPI | 1356092647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN LYNN WARREN Owner 410-298-0734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |