| NPI | 1558883918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA TALABIS Executive Director 410-563-3459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 905800) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-07-21 |