| NPI | 1558620708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN WOODELL Director 410-366-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 903995) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |