| NPI | 1518622463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SOBOWALE Owner 301-346-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2021-11-05 |