| NPI | 1194238782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROBY Executive Vice President 301-447-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |