NPI | 1144236977 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCIA ELLIS President 410-296-2268 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 12463) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2020-08-22 |