| NPI | 1548020647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNJULIE AUGUSTINE NKWABA President 202-498-8094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-22 |