| NPI | 1215400866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL MUFTAU A ADEITE Executive Director 240-486-1238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2020-02-05 |