| NPI | 1376891945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM PALABIS Executive Director 410-563-3459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2014-01-14 |