| NPI | 1316387046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID AARON GILMORE Chief Executive Officer 240-882-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: DC 1049) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |