NPI | 1467270306 |
---|---|
Entity Type | Organization |
Authorized Contact | BOSEDE M ADELEYE Provider 301-798-5583 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-09-30 |
Last Update Date | 2024-09-30 |