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 |