| NPI | 1851582944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUE B JENKINS Program Director Owner 301-846-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 101990) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |