| NPI | 1083899454 |
|---|---|
| Other Name | ADULT RESIDENTIAL MEN COMPONENT |
| Entity Type | Organization |
| Authorized Contact | JANICE M DESSASO President/CEO 202-543-4558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: DC 102500RM-023) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: DC 037114400) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2012-07-31 |