| NPI | 1114155421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE F. OBEBE President 240-645-3643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-25 |