| NPI | 1265695720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMOS AMUH MUBANG CEO 301-273-3367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC DCJM-2008-HC-0001-24) |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2009-01-02 |