| NPI | 1821559865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELAIDE ETSE CFO 301-841-8907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2020-10-28 |