| NPI | 1578084463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE RENEE MARQUARDT Vice President 301-898-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |