| NPI | 1619706793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALISTA CHANA CEO 240-374-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |