| NPI | 1417216045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SCHULDEN Executive Director 410-752-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 101735) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |