| NPI | 1902333024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BOLEK Contracts COO Rdinator 240-401-3062 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2021-04-06 |