| NPI | 1942343983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL L COOPER Chief Financial Officer 410-810-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-04-26 |