| NPI | 1972147114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH EVANS Director Of Compliance 410-219-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2022-08-23 |