| NPI | 1265686919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL MICHELE HOWARD Vice President 202-445-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD n/a) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |