NPI | 1598470700 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMANTHA TOMLINSON Director 301-310-7939 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Enumeration Date | 2023-01-23 |
Last Update Date | 2023-01-23 |