| NPI | 1558048041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN DENISE POTTER Npi Team 202-382-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |