| NPI | 1346463098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODWELL BUCKLEY Administrator 301-270-7041 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2016-09-26 |