| NPI | 1124274410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE C PRICE Director Operations 301-389-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC 38912700) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: DC 038912700) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC 038912700) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC 038912700) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2013-01-03 |