| NPI | 1962107979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEONNA ARMSTRONG VP Of Revenue Cycle Management 240-813-9867 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2024-08-20 |