| NPI | 1619385630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE GEYER Program Director 240-575-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2016-10-18 |