| NPI | 1609754225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SMITH Director Of Operations 410-913-8955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-12-17 |