| NPI | 1033995287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABTAMU TECHANE TIGABU CEO 240-490-0176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-12-02 |