| NPI | 1205140100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LEIDY Chief Administrative Officer 703-639-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 385HR2065X Respite Care Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |