| NPI | 1356649057 |
|---|---|
| Doing Business As | AVERY ROAD COMBINED CARE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM J. ROBY Executive Vice President 410-233-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD MH484) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |