| NPI | 1093242117 |
|---|---|
| Doing Business As | AVERY ROAD COMBINED CARE |
| Entity Type | Organization |
| Authorized Contact | SARAH BOLEK Contracts Coordinator 240-401-3062 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |