| NPI | 1811386634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA R DUKES CEO 443-831-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 905037) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |