| NPI | 1477756997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG HAYWOOD Executive Director 410-879-7619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 750283) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |