| NPI | 1992673883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN WATSON Executive Director 443-768-6132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |