| NPI | 1740439603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. MICHAEL MCGUINNESS Executive Director 301-563-1545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: DC 111507A-Y-170) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: DC 111507A-171) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |