| NPI | 1740444116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA E DANIEL Clinical Director 703-507-9402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 251B00000X Case Management | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2025-09-04 |