| NPI | 1831872910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONISHA TOOMER Executive Director 443-438-7166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |