NPI | 1093332595 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS RICHARDSON CEO/Owner 301-296-0293 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2025-01-07 |