| NPI | 1578921037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON DANIEL ALDERMAN Treasury 443-540-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |