| NPI | 1124406905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXWELL ASENSO CEO 301-537-7098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |