| NPI | 1437879459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM GEORGE COO 202-878-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |