| NPI | 1962634550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEATRIA L WILLIAMS-TYSON Executive Director 410-534-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2017-02-16 |