| NPI | 1629009311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA LYNN CLENDANIEL Billing Manager Credentialing Spec 410-770-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MD D0050266) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |