| NPI | 1699916700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL PRELL President 410-982-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 100982) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2023-12-27 |