NPI | 1053010462 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE BERNY GIFWANDI CEO 202-469-9188 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2023-02-24 |
Last Update Date | 2023-02-24 |