NPI | 1619082005 |
---|---|
Doing Business As | AVERY ROAD TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM J. ROBY Executive Vice President 301-447-2361 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 903194) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
1041C0700X Social Worker, Clinical | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 20105) | |
261QM0850X Clinic/Center, Adult Mental Health (Licence: MD 20105) | |
Enumeration Date | 2006-08-19 |
Last Update Date | 2011-03-15 |