| NPI | 1982253407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD THOMAS PRZYWARA Sr VP Of Operations 410-273-2266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |