| NPI | 1245610807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YDIA GORDON CEO 240-641-2674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |