| NPI | 1427601103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS APPLEFELD Manager 410-296-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |