| NPI | 1306691415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA C ROBERSON Director Assistant 240-462-6947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-05-09 |