NPI | 1083068563 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER GERARD LUECKING Business Manager 301-696-1950 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD 06287) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2022-11-07 |