| NPI | 1912715012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORSHIA EVERETT CFO/Administrator 410-462-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2025-03-27 |