| NPI | 1174236145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZAH AFON Executive Director 240-581-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |