| NPI | 1679923056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY WILSON Executive Director 410-433-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MD 3875) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |