| NPI | 1497421283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFY GERA EDE-BROWN President 240-286-3182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |