| NPI | 1568738573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELA CAMPBELL Executive Director 410-462-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 13955) |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2022-03-14 |