| NPI | 1164311486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAON BADOH NAHJELA EPSE WIRYEN CEO 240-375-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |