| NPI | 1942360490 |
|---|---|
| Other Name | ACHD-LOIS E. JACKSON UNIT |
| Entity Type | Organization |
| Authorized Contact | SUE RAVER Health Officer 301-759-5001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MD 16297) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-08-06 |