NPI | 1306176961 |
---|---|
Other Name | AVERY ROAD COMBINED CARE |
Entity Type | Organization |
Authorized Contact | LAURA WINTON Program Director 301-279-8828 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 903558) |
Enumeration Date | 2010-01-05 |
Last Update Date | 2010-01-05 |