| NPI | 1154661171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE D CANTRELL Executive Director 301-360-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2023-02-15 |