| NPI | 1518570605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORINE NDE Director 240-825-8067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |