| NPI | 1538877477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT NKANSAH CEO 703-839-0438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |