| NPI | 1598272312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD E TALIAFERRO CEO 410-558-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MD BH000176) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |