| NPI | 1952382665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM KRANTZ WIREMAN President/CEO 410-276-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 103079) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2021-10-08 |