| NPI | 1194128819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLOTILDE ANDJONGO BITOMO Hha 240-467-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: DC HHA10972) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |