| NPI | 1013361062 |
|---|---|
| Doing Business As | MOUNTAIN MANOR- COLUMBIA |
| Entity Type | Organization |
| Authorized Contact | MEGHAN WESTWOOD Contracts Manager 301-762-5613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-05-09 |