| NPI | 1669864674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DUKES CEO 443-831-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-02-27 |