| NPI | 1942367222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CUDDY CFO 410-768-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 17445) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD 17446) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |