| NPI | 1558668947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLORUNSO PAUL IJITI Director 301-442-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC LP41520) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: DC LP41520) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2011-02-21 |