| NPI | 1972834117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE HARRIS Owner 410-624-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 903879) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2024-01-30 |