NPI | 1497951032 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW PONS Director 410-778-6404 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MD 902678) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2017-12-21 |