| NPI | 1871642496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE MILSTEIN Administrator 301-942-7821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 12555) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-09-16 |