| NPI | 1730545419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA THOMAS Clinical Director 443-609-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |