| NPI | 1003629213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEE LAWAL Director 202-643-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |