| NPI | 1720681547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN NGANG ZAMA Owner 301-902-0664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2023-04-24 |