| NPI | 1568061521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASCHID S. SMITH Program Director 410-276-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |