| NPI | 1821461310 |
|---|---|
| Doing Business As | AVERY HOUSE |
| Entity Type | Organization |
| Authorized Contact | RICHARD SAWYER Director Of Contracts Management 443-904-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |