| NPI | 1417385444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZERUBABEL YISHRAEL Owner 240-491-2423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |