| NPI | 1225731235 |
|---|---|
| Other Name | IBC |
| Entity Type | Organization |
| Authorized Contact | DEVONE CLARICE WILLIAMS COO 301-818-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |