| NPI | 1467830612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN S. TONEY Executive Director 410-675-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 902165) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2018-08-23 |