| NPI | 1841829892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE L PELEGRINI VP Finance 410-868-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |