| NPI | 1578060984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRECIA WILLIAMS Executive Director 443-653-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |