| NPI | 1366256240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANH-LINH FLYNN Chief Operation Officer 240-249-0989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2026-03-18 |