| NPI | 1225199573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER D LARSON Executive Director 240-686-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 902999) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |