| NPI | 1548940612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC MATOVU Administrator 240-595-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |