| NPI | 1518715531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GBENGA WILLIAMS Administrator 410-521-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-06-13 |