| NPI | 1396059697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL CHRISTOPHER GLAVARIS Owner 410-663-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MD R2939P) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |