| NPI | 1366527111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL TIZIBONG ATANG President & CEO 202-787-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-11-29 |