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