| NPI | 1801194501 |
|---|---|
| Doing Business As | AVERY ROAD COMBINED CARE |
| 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 904068) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MD MH484) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |