| NPI | 1558749317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEI HILL Owner 202-400-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: DC 65821274) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |