| NPI | 1023993490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | O'DELL SYLVESTER SMOOT Chief Operating Officer 240-671-9957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |