NPI | 1639576895 |
---|---|
Other Name | BH VO MAT |
Entity Type | Organization |
Authorized Contact | DIANA AZUCENA CORTEZ Management 240-672-6758 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QP0905X Clinic/Center, Public Health, State or Local |
261QM2800X Clinic/Center, Methadone Clinic | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2014-12-03 |
Last Update Date | 2025-09-18 |