| NPI | 1023148046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R. CLAYE Ex. Director 301-445-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 4093143) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |