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 |