| NPI | 1104373562 |
|---|---|
| Doing Business As | ASHLEY ADDICTION TREATMENT |
| Entity Type | Organization |
| Authorized Contact | ALBERT GERMANN CFO 410-273-2207 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MD 100634) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MD 100634) |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: MD 100634) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD 100634) | |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |