| NPI | 1538553540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BARNES Program Director 443-803-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD LCA1785) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |