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 |