| NPI | 1215239389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONE D MCCLURE President 240-246-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |