| NPI | 1417409160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GALAHER Program Sponsor 410-991-5687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2024-04-25 |