| NPI | 1568214591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KOILA NGATI Administrator 240-888-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |