| NPI | 1649917022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L KUEHNE Member 410-961-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2022-05-17 |