| NPI | 1386042737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE PAPA Manager 410-328-1057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |