| NPI | 1497948871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL GAHAGAN Administrator 202-588-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |