| NPI | 1801247374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKEY RICHARDSON Co Program Manager 410-222-6001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2022-07-21 |