| NPI | 1851926612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNN BOBBITT Deputy Director Of Finance 410-222-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |