| NPI | 1417335688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA TRENTON NEE COO 301-739-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X (Licence: MD LCA1727) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2024-11-27 |