| NPI | 1598734410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BOSTICK-HUNT Director 410-669-0475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 356110) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2020-08-22 |