NPI | 1437317559 |
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Doing Business As | AVERY ROAD TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM J. ROBY Executive Vice President 301-447-2361 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2008-05-27 |