| NPI | 1699135244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAM K ALATHARI Partner 703-492-5584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2022-09-20 |