| NPI | 1437978459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ONYEBERECHI CEO 240-643-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |