| NPI | 1578171286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN ADKINS Compliance Coordinator 410-758-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |