| NPI | 1447448410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALAN FRIEDEL Executive Director 410-752-4454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD MD-10202301) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2022-11-14 |