| NPI | 1043483852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY PRIMES PIERCE President / CEO 202-236-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children (Licence: DC 021308A-Y-186) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2021-04-28 |