| NPI | 1518435783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTEANA V JONES Practice Manager 443-388-9654 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |