| NPI | 1629114657 |
|---|---|
| Other Name | ADDICTIONS TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | LAURIE JANE POSS Owner 410-571-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0032567) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: MD D00032567) |
| 207QA0000X Family Medicine, Adolescent Medicine (Licence: MD D0032567) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-03-27 |