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 |