| NPI | 1235674151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN TYNES Founder 240-281-7653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: VA 2370-02-001) |
| Enumeration Date | 2017-01-01 |
| Last Update Date | 2017-01-01 |