| NPI | 1982972766 |
|---|---|
| Doing Business As | OUTPATIENT ADDICTIONS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMEELAH JOHNSON Manager 240-773-1211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2024-05-07 |