| NPI | 1508265190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G. BARNES Program Director 443-803-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD LCA1785) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2023-09-11 |