| NPI | 1083439327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LONG Owner 202-413-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 177F00000X Lodging |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-22 |