| NPI | 1215820931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK LAMAR WILLIAMS CEO 571-561-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |