| NPI | 1669863569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOMSON MYRON OWENS CEO/President 410-262-5778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2016-09-23 |