| NPI | 1104648617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN NKEMAMIN NZEFEH CEO 240-855-6293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2024-10-26 |