| NPI | 1205395894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEAL ADERENI Director 202-390-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |