| NPI | 1467874420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE BROCK CEO/President 301-821-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 905037) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |