| NPI | 1619687100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J MCCARTHY Managing Partner 443-890-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2025-08-03 |