NPI | 1609920644 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY L BROOKS CEO 202-789-1930 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC 980035) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2018-04-04 |