| NPI | 1376193797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEWIS MONROE CEO 240-375-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 314000000X Skilled Nursing Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2023-12-11 |