| NPI | 1396320560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SMITH Program Director 410-304-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-05-06 |