| NPI | 1427456631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN STONER Administrator 240-313-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2023-11-28 |