| NPI | 1659409795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA D MORTON Business Manager 202-636-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |