| NPI | 1750755351 |
|---|---|
| Doing Business As | GAUDENZIA - CROWNSVILLE |
| Entity Type | Organization |
| Authorized Contact | CHANDRA MCNEIL-JOHNSON Regional Finance Manager 410-864-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2016-11-22 |