| NPI | 1093007411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE DIXON President/ Director 301-374-2013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD LCA456) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |