| NPI | 1497453831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMDEM JAMES MANGA Manager 240-646-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |