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 |