| NPI | 1568094852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LAMB Director Of Administration 410-975-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2021-10-28 |