| NPI | 1679102719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE L PELEGRINI VP Finance 410-868-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |