| NPI | 1912405200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MCCONAUGHEY Health Officer 410-543-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2024-08-07 |