NPI | 1730876350 |
---|---|
Entity Type | Organization |
Authorized Contact | FOLAKE ALOBA Clinical Director 240-713-4921 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2023-04-24 |
Last Update Date | 2024-07-16 |