| NPI | 1720282007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BITTINGER Business Operations Manager 410-628-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 904257) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2014-12-03 |