| NPI | 1285103564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAMIE BYNUM Owner 240-396-8086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-27 |