NPI | 1285042911 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN JOSEPH PRICHARD Program Director 443-949-7150 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2014-07-25 |
Last Update Date | 2015-02-06 |