| NPI | 1295325934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN OWTUNWANNE President/CEO 301-593-4719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-28 |