| NPI | 1013587716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALEXANDER Executive Director 202-450-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251C00000X | |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2021-06-26 |