| NPI | 1255949392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CLARK Executive Director 301-262-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |