| NPI | 1528598034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY ANN SHAW-WILSON Qa And Compliance Specialist 410-433-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2026-06-15 |