| NPI | 1366110231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY ATOLOYE Program Director 443-929-8315 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2021-10-16 |