| NPI | 1700542180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE NOEL MATHEWSON Co Owner, Clinician 240-520-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-16 |