| NPI | 1548618374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LAMB Director Of Administration 410-975-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2021-10-28 |