| NPI | 1063942316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAMA MAGONA Administrator 240-542-4195 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-07-24 |