| NPI | 1114233079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HACKETT President 202-288-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: AZ AL7815H) |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2010-08-28 |