| NPI | 1124072111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C INGRAM President 301-926-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD 296605100) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-08-22 |