| NPI | 1518228063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN CARRINGTON Executive Director 301-270-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |