| NPI | 1356990501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN A DORRANCE CEO 240-264-5789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |