| NPI | 1427228105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY PRIMES PIERCE Executive Director 202-236-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: DC 102500R008) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2022-05-12 |