| NPI | 1942923735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELA BLUE-CAMPBELL Executive Director 443-904-8216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-09-26 |