| NPI | 1063766558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON EUGENE HALL CEO 202-409-7467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |