| NPI | 1306220322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F. PLASKON Executive Director 410-758-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 905640) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |