| NPI | 1932342821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL FLOOD Social Worker 410-837-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD LCA170) |
| Additional Taxonomies | 251S00000X (Licence: MD GO9539) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |