| NPI | 1457754681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HERRON Executive Director 410-233-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 904732) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |