| NPI | 1740227602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BLACKWELL Patient Accouts Director 410-221-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MD 09011) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: MD 09011) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |