| NPI | 1972021681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEONNA ARMSTRONG VP Of Cycle Management 240-813-9867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: MD MD-10167M) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2024-08-20 |