| NPI | 1023346897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIS PORO ADAIR Owner/President 301-974-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2009-12-05 |
| Last Update Date | 2009-12-05 |