| NPI | 1609506815 |
|---|---|
| Doing Business As | HERITAGE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | TIFFANY BEANE Program Director 443-224-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |