| NPI | 1497954275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR K WIGGINS Executive Director 410-746-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MD D0045540) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2021-03-03 |