| NPI | 1568443208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY M ROSE Executive Director 410-752-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 11174) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-08-22 |