| NPI | 1417232513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL BERCH Executive Director 301-663-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 903854) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |