| NPI | 1619533155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODFREY NWACHUKWU Director 301-273-5051 |
| 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 |