| NPI | 1396309761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MBALU SESAY CEO 571-982-9089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |