| NPI | 1871298745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMA COATES Owner/Executive Director 301-693-9027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |