| NPI | 1457025421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN HARRIS Executive Director 443-857-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |