| NPI | 1457610586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHANTHI M KIRIDENA President 202-905-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2022-07-21 |