| NPI | 1366141608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOLADE AKANNI CEO 301-329-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |