| NPI | 1902771538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE ANNE LETCHFORD President, Owner 301-752-7944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |