| NPI | 1467154021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHE F KOANOU Director 202-247-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |