| NPI | 1891281309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON LAMONT MARSHALL CEO 443-850-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD Bh000960) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2019-08-15 |