| NPI | 1306095617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE TONDELAYO WILSON President/ CEO 301-853-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |