| NPI | 1528229283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY RICHARDSON Executive Director 410-453-9553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 100406) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2018-06-25 |