| NPI | 1578258760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE D MARION Director 443-673-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2025-09-11 |