| NPI | 1427987627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHEL TADESSE Executive Director 240-423-5267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2026-05-15 |
| Last Update Date | 2026-05-15 |