| NPI | 1598034522 |
|---|---|
| Other Name | MASSIE UNIT UNDER 21 |
| Entity Type | Organization |
| Authorized Contact | SUE V RAVER Health Officer 301-759-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 16298) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |