| NPI | 1487412367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKECHUKWU OBIORA Owner 240-667-1679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |