| NPI | 1316115454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J MICHAEL MCGUINNESS Executive Director 301-563-1545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MD 903298) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |