| NPI | 1679773865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL B. CASON Chief Executive Officer 410-728-4491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 903261) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |