| NPI | 1023167335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KAISER Director 301-762-1383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 903159) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-06-18 |