NPI | 1760644835 |
---|---|
Doing Business As | JOURNEYS ADOLESCENT PROGRAM |
Entity Type | Organization |
Authorized Contact | WILLIAM J ROBY Executive Vice President 301-447-2361 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MD 15147) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2021-04-06 |