NPI | 1386178879 |
---|---|
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 906418) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |