NPI | 1730618224 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY LEE BLACK Executive Director And CEO 410-871-3218 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-07-21 |