| NPI | 1265170385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRECIA WILLIAMS Executive Director 443-805-8927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |