| NPI | 1972859577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT SMITH Operations Director 202-269-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2022-07-21 |