| NPI | 1528641222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABI PASCAL DEGOH C.E.O/Program Manager 240-413-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-04-30 |