NPI | 1568094852 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY LAMB Director Of Administration 410-975-0067 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-02-05 |
Last Update Date | 2021-10-28 |