| NPI | 1215064795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN CARRINGOTON Executive Director 301-270-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: DC HFD03-0195) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |