| NPI | 1952438624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA FLEMEMBAUM Owner 410-203-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 903207) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |