| NPI | 1720437239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA CAMPBELL Administrative Manager 301-739-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 605783) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 905783) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |