NPI | 1396202511 |
---|---|
Doing Business As | UNITED STATES |
Entity Type | Organization |
Authorized Contact | FIDELIS N SAB Owner 240-350-9677 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2019-02-24 |
Last Update Date | 2024-10-12 |