| NPI | 1457983538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIATU KAMARA Director 571-620-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2022-07-11 |