| NPI | 1780002931 |
|---|---|
| Other Name | CENTER 4 CLEAN START |
| Entity Type | Organization |
| Authorized Contact | HEATHER BARTON Director Of Administrative Services 410-632-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD MH-63) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-07-14 |