| NPI | 1093309015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWONTI ETOO NDJONGO Chief Executive Officer 703-660-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |