| NPI | 1447078399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOSEDE M ADELEYE Provider 301-798-5583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |