| NPI | 1841781895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI FIELDS Practice Administrator 410-497-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2019-08-21 |