| NPI | 1881947968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE WARREN Physician 410-796-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD D48116) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |