NPI | 1003968991 |
---|---|
Other Name | ACHD-OUTPATIENT ADDICTIONS |
Entity Type | Organization |
Authorized Contact | SUE RAVER Health Officer 301-759-5001 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X (Licence: MD 903069) |
Additional Taxonomies | 251S00000X (Licence: MD 903070) |
261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 903068) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2013-08-06 |