| NPI | 1528012705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL BERCH Executive Director 301-942-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD 336245) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |