| NPI | 1609310101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEWIS MONROE CEO 240-375-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 906038) |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MD 906038) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |