| NPI | 1861116287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYTHE JOHNSON VP Billing/Tx Coordination 410-276-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |