| NPI | 1588922835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACKIEL RAMON RIOS Hha 202-529-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 580065382) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |