NPI | 1649820358 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH AZUINE Director 240-429-2874 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2019-09-14 |
Last Update Date | 2019-09-14 |