| NPI | 1508598715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BAMA Administrator 240-481-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |