| NPI | 1194295840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL PRELL President 410-751-7771 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2026-02-02 |