| NPI | 1669932562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WILLIAMS Executive Director 240-338-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient | |
| 275N00000X Medicare Defined Swing Bed Unit | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |