| NPI | 1306187950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA H RODRIGUEZ VREM Clinical Director 301-538-3899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1917) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LCA1813) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |