| NPI | 1134326762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M COOK Executive Director 202-232-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC HFD12-0007) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |