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 |