| NPI | 1386879955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI MARYANN OKUDOH Administrator 301-332-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |