| NPI | 1003071226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL PRELL President 410-967-0058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD MD-10118-M) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2020-12-18 |