| NPI | 1467920918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH C KRUEGER Clinical Director 301-439-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |