| NPI | 1407042765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON STUBBLEFIELD Chief Financial Officer 301-599-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MD DDA-18945-07) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD DDA-18945-07) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |