| NPI | 1184984064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL SNYDER President 301-459-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC 038912700) |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2013-01-07 |