| NPI | 1013483023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA ANN WILKINS-JACKSON President & CEO 240-766-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2023-10-03 |