NPI | 1033101738 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD AVERY KNIFFEN Director Of Performance Improvement 301-251-6828 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MD 15-038) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2020-08-22 |