| NPI | 1497550768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MWINJI MTONGA CEO 301-728-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |