| NPI | 1609650530 |
|---|---|
| Other Name | OUTPATIENT TREATMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | SHONTEL GREENE CEO 443-847-3749 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-25 |