| NPI | 1477437036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN NICHOLSON Executive Director 240-457-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |