| NPI | 1619144854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLINDA C. ANDERSON Clincial Director 301-855-1458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD MD10104401) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2017-01-31 |