| NPI | 1922703669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JAMES Managing Partner 410-622-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |