| NPI | 1558098194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE C OSUALA Medical Director 301-577-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |