| NPI | 1154637999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN TILLMAN Program Administrator 301-278-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC ADD13749) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2016-11-29 |