| NPI | 1437557220 |
|---|---|
| Other Name | SHORE BEHAVORIAL SUBSTANCE ABUSE IOP |
| Entity Type | Organization |
| Authorized Contact | KENNETH D KOZEL President/CEO 410-822-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2021-02-10 |