| NPI | 1568761526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN N KONNEH President 301-220-0628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |