| NPI | 1619532140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS NJEM Director 703-928-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |