| NPI | 1053586933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK O. OGBEIDE President/CEO 301-805-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |