| NPI | 1063800050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE BARLUP Fiscal Accounts Clerk 240-313-3492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |