| NPI | 1316569338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MABINTI KAMARA Director 703-861-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |