| NPI | 1427299510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL PRELL President 443-507-5953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 102262) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2020-12-18 |