| NPI | 1124866637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI OGUNSEYE Administrator 301-254-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |