Provider First Line Business Practice Location Address:
NIH/NIDA, BAYVIEW CAMPUS
Provider Second Line Business Practice Location Address:
BRC, 251 BAYVIEW BOULEVARD, ROOM 01A844
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-740-2801
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/14/2020