| NPI | 1851169817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE B FOOTE Clinical Director 443-962-3592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-05-23 |