| NPI | 1497099584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACE GREEN Medical Director 202-547-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: DC MD25574) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |