| 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 Community/Behavioral Health |
| 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 |