| NPI | 1851348536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY WU Director Of Special Projects 410-241-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2022-12-07 |