| NPI | 1841702180 |
|---|---|
| Doing Business As | AVERY ROAD COMBINED CARE |
| Entity Type | Organization |
| Authorized Contact | MARC FISHMAN Medical Director 410-233-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 905577) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |