| NPI | 1801922711 |
|---|---|
| Doing Business As | ADDICTION SERVICES |
| Entity Type | Organization |
| Authorized Contact | DONNA LOU RUSSELL Addiction Counselor 410-879-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD ACO259) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |