| NPI | 1245990100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA THOMAS Clinical Director 410-370-8544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |