| NPI | 1376192484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GABOR Chief Executive Officer 410-616-1074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |