| NPI | 1528598034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANN MCINTYRE CFO 410-433-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-21 |