| NPI | 1447730890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MARIE PARKER Owner 410-273-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2026-05-29 |