| NPI | 1548794886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL WILSON Chairwoman 240-204-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD BH00175) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2018-11-15 |