Organization
PSI KI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY LAWS (OWNER)
(443) 204-5944
Entity
Organization
Contact information
Practice address
26 MARBURY DR, CROWNSVILLE, MD 21032-2065
(443) 204-5944
Mailing address
PO BOX 3603, BALTIMORE, MD 21214-0603
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
09/01/2010
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