| NPI | 1437805728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA CAVINESS CEO 240-413-4507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-12-08 |