| NPI | 1417468455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HENRY Vice President 410-301-9162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |