| NPI | 1497539118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA REPAC Chief Financial Officer 301-790-9351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |