| NPI | 1609667526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA PETERSON Billing Manager 443-440-5782 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |