| NPI | 1730618224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LEE BLACK Executive Director And CEO 410-871-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |