| NPI | 1619861580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ADEYEYE Program Director 240-505-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |