| NPI | 1326821844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEKO CLAVET Director 202-413-6179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |