| NPI | 1417435686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN LINDSEY Program Manager 301-979-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2019-01-20 |