| NPI | 1720450729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA HAWKINS Director Of Finance And Business De 443-529-9987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |