NPI | 1548900939 |
---|---|
Entity Type | Organization |
Authorized Contact | SADE DUNN CEO, Clinical Director 301-752-9424 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2022-04-01 |
Last Update Date | 2022-04-01 |