| NPI | 1750060117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GBENGA WILLIAMS Program Manager 410-521-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2024-05-06 |