| NPI | 1043755721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE MARKOWITZ Principal 410-929-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |