| NPI | 1003304106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHRISTOPHER HANN Cmo 301-733-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD BH000028) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2023-06-15 |