| NPI | 1316345051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LAURESKA Deputy Health Officer/Operations 410-222-7377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: MD 904466) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2024-04-09 |