| NPI | 1194211995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONIA D STATEN Chief Therapist/CEO 240-799-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8789) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-08-20 |