| NPI | 1619082005 |
|---|---|
| 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 |