| NPI | 1144004433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA ABBOTT Owner 240-346-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |