NPI | 1447946892 |
---|---|
Entity Type | Organization |
Authorized Contact | FOLAKE ALOBA Clinical Director 240-713-4921 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2023-04-17 |
Last Update Date | 2024-07-16 |