| NPI | 1164801114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER FRU AKUFONGWE Administrator 240-498-1461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |