| NPI | 1326545567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRECIA WILLIAMS Executive Director 443-653-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD BH000520) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |