| NPI | 1104150028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A CARRINGTON Executive Director 301-270-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |