| NPI | 1538943147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA L SHIRIMA CEO 301-305-5731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-10-26 |