| NPI | 1275315632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY KING Director Of Business Services 301-270-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |