| NPI | 1700874237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M TRENTON Executive Director 301-791-7826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 12558) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |