| NPI | 1427618255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE ENI CHICK FOH Director 202-506-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |