| NPI | 1649640426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP KENDALL Program Manager 443-275-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |