| NPI | 1164687737 |
|---|---|
| Other Name | AVENA COMPANY LIMITED LIABILITY |
| Entity Type | Organization |
| Authorized Contact | VICTORIA CHINYE EMENANJO Executive Director 301-725-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: MD R121487) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD LP41016) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: MD R121487) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |