| NPI | 1144078759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKIK TEMECHE Co Owner 240-760-9721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |