| NPI | 1497418602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASS TAGNE Director 301-640-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-12-31 |