| NPI | 1497554323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA R DOW Executive Director/CEO 443-643-6829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |