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 |