| NPI | 1689154981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE SUTHARD Billing Manager 301-942-9773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2024-09-25 |