| NPI | 1538499165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WEINTRAUB Medical Director 410-328-5881 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 101287) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |