| NPI | 1265797716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J TURNER CEO 443-485-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 904609) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2018-04-17 |