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 |