| NPI | 1396340196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT ENOW ENOW TAKEM Owner 240-408-6286 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |