| NPI | 1891073409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIYA JONES President 240-547-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| Enumeration Date | 2011-07-31 |
| Last Update Date | 2011-07-31 |