| NPI | 1073188629 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TRAVIS PLUMMER CEO 301-366-5675 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 
| Enumeration Date | 2021-05-26 | 
| Last Update Date | 2021-05-26 |