| NPI | 1457614257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT KWIMI Supervisor 202-450-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |