| NPI | 1558010603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA CARTER CEO 301-577-7307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2023-01-10 |