NPI | 1144910746 |
---|---|
Doing Business As | BENNETT GROUP HOME LLC |
Entity Type | Organization |
Authorized Contact | ABENA FYNN SWATSON Administrator 703-597-6529 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2023-05-09 |
Last Update Date | 2023-05-09 |