| NPI | 1427400050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGETTE DEYONOU Program Director 240-604-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2539-01-001) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |