| NPI | 1568447209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH EVANS Director Of Compliance 410-219-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2024-12-30 |