| NPI | 1871982629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA S BOWLING Billing Manager 301-609-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |