| NPI | 1053906461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUK-CHING AU-YEUNG Revenue Manager 240-731-6593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-11-16 |