| NPI | 1053023044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNAEMEKA IRUABUCHI NWOSU Md 240-515-2067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-31 |