| NPI | 1144037284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIAGOZIE NWOSU CEO 571-398-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |