NPI | 1265645493 |
---|---|
Other Name | GAUDENZIA INC AT OWINGS MILLS |
Entity Type | Organization |
Authorized Contact | MIKE WILLIAMS Sr. Contracting Manager 484-338-3731 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 903014) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2021-06-24 |