| NPI | 1760216188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF GORDON President 301-276-4309 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |