NPI | 1134587678 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLEY JONES Clinical Supervisor 443-438-4546 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD AC1690) |
Enumeration Date | 2016-01-28 |
Last Update Date | 2016-01-28 |