NPI | 1518654995 |
---|---|
Entity Type | Organization |
Authorized Contact | KEONNA ARMSTRONG VP Of Revenue Cycle Management 240-813-9867 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-04-18 |
Last Update Date | 2024-02-13 |