| NPI | 1952148322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMITOPE S WILLIAMS Owner 410-521-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-15 |