| NPI | 1558446690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG S. KNOLL CEO/Executive Director 301-754-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 15765) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD 15766) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD 15117) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD 15118) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |