| NPI | 1417129776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACY STEPHEN President 202-547-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC HFD12-0066) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |