| NPI | 1902265093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA THOMAS Clinical Director 443-609-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |