| NPI | 1811268113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN STUMP COO 202-441-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2017-11-29 |