NPI | 1891334710 |
---|---|
Other Name | CITYWIDE BEHAVIORAL HEALTH IOP |
Entity Type | Organization |
Authorized Contact | PAMELA P JOHNSON Owner 410-484-0036 |
Organization Subpart ? | No |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
Enumeration Date | 2019-12-23 |
Last Update Date | 2025-09-29 |