| NPI | 1346862562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CLARK Chief Admin Officer 301-589-0255 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |