| NPI | 1215696877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGERY MUMA CEO 301-273-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-05-24 |