| NPI | 1912496654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE S KAMARA President/CEO 301-346-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD BH000298) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 261Q00000X Clinic/Center | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2019-04-11 |