| NPI | 1962229922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY NJWENG FORLU Owner/CEO 301-441-2368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-10-18 |