| NPI | 1518609627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINE ATANG Director 301-708-8723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2022-04-09 |