| NPI | 1285385351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYONA DAVIS CEO 202-729-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |