NPI | 1902333024 |
---|---|
Doing Business As | AVERY ROAD TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | SARAH BOLEK Contracts Coordinator 240-401-3062 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2017-05-19 |
Last Update Date | 2021-04-06 |