| NPI | 1336779560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILDINE BURGESS Program Director 240-350-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 310400000X Assisted Living Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-09-28 |