| NPI | 1497256820 |
|---|---|
| Doing Business As | CHANGE TREATMENT CENTERS |
| Entity Type | Organization |
| Authorized Contact | JOHN WERE Director 410-831-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MD R170382) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |