| NPI | 1578057899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA N ZAMA COO 240-513-6001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2020-12-01 |