| NPI | 1790489458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SCOTT Director 443-764-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| 283Q00000X Psychiatric Hospital | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |