| NPI | 1356876379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNITA GRANT Licensepractical Nurse 443-652-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD 41878) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-05-01 |