| NPI | 1952082331 |
|---|---|
| Doing Business As | GAME TO GLORY RESTORE |
| Entity Type | Organization |
| Authorized Contact | KEVIN WILLIAMS Director 240-338-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-11-15 |