| NPI | 1942619473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY H CRAWFORD Executive Director 202-561-8387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |