| NPI | 1609596105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CHRISTINE LEE FURMAGE Owner 240-712-1851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-02 |