| NPI | 1740468008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WESTLY AVERYT Clinical Director 202-546-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2009-04-23 |