| NPI | 1215764626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORIYOMI T SHOKUNBI CEO 240-659-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |