| NPI | 1538507454 |
|---|---|
| Doing Business As | AVERY ROAD TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD H SAWYER Director Of Contracts Management 443-904-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MD 904818) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |