| NPI | 1710411210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F PLASKON Quality Compliance Coordinator 410-758-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 906416) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |