| NPI | 1093175408 |
|---|---|
| Doing Business As | MOUNTAIN MANOR- SAFE PASSAGES |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROBY CEO 301-447-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 905876) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |