| NPI | 1588403422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIRGIT J LOCKLEAR Executive Director 301-538-3753 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |