| NPI | 1568729416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN WALLACE JONES President 410-484-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 904299) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |