| NPI | 1073002762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE S KAMARA President/CEO 301-346-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 261Q00000X Clinic/Center | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2019-04-11 |