| NPI | 1205291556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION PARKS Executive Director 301-509-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management (Licence: DC 251B) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |