| NPI | 1942288519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HENRY MOONEYHAN Executive Director 301-739-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MD 902934) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2020-08-22 |