| NPI | 1245548163 |
|---|---|
| Doing Business As | AVERY ROAD COMBINED CARE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM J. ROBY Executive Vice President 301-447-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD Pending) |
| Additional Taxonomies | 261QM0801X (Licence: MD Pending) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: MD Pending) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD Pending) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |