| NPI | 1427835024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLA MASALLA Director 240-898-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |