NPI | 1285305292 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN RUBBIN Executive Officer 301-552-7120 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-09-21 |
Last Update Date | 2021-09-24 |