| NPI | 1982237293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SLICHER Executive Director 410-837-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |