| NPI | 1205965746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODWELL BUCKLEY Administrator 301-270-7041 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2016-09-26 |