| NPI | 1689393142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BUTLER Director Of Operations 410-702-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |