| NPI | 1902093453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP DEBERRY Chief Administrative Officer 410-480-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |