| NPI | 1144419201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE YITZCHAK MARKOWITZ Clinical Director 443-904-3424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 101884 OHCQ) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2022-12-07 |