NPI | 1003420266 |
---|---|
Entity Type | Organization |
Authorized Contact | MOSUNMOLA SANDRA LAKE Manager 301-263-4890 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2020-09-04 |
Last Update Date | 2020-09-04 |