| NPI | 1104640663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI FAGBUYI RN/CEO 202-487-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |