| NPI | 1891825345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PNINA MASHA BARBER Executive Clinic Coordinator 410-761-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-12-06 |