| NPI | 1477677896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL D WEBER CEO 443-625-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X (Licence: MD 2157) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-03-16 |