| NPI | 1457704413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI FIELDS Billing Credentialing 443-559-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 906151) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-18 |