| NPI | 1013258011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAFAYAT HUSBAND Operating Officer 202-905-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |