NPI | 1497984645 |
---|---|
Entity Type | Organization |
Authorized Contact | FAYTHE MOYER Billing Director 410-276-1773 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 903742) |
Enumeration Date | 2009-07-09 |
Last Update Date | 2022-07-21 |