| NPI | 1659111417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DAWODU CEO 410-967-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-07-02 |