| NPI | 1225213325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXWELL ASENSO Exec Director 202-829-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2020-09-17 |