| NPI | 1578604146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAPA Service Line Manager 410-328-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: 45780) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |