| NPI | 1144402975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA LYNN TAYOOR Social Worker 301-808-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MD 612879) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |