NPI | 1215116470 |
---|---|
Doing Business As | WHITESTONE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | EDWARD S JOHNSON Clinic Director 410-200-5210 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 347205) |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 347205) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2008-07-23 |