| NPI | 1629305495 |
|---|---|
| Doing Business As | AZI HOUSE ONE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ATABONGNKENG FUANGUNYI Statutory Agent 240-643-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2009-11-15 |
| Last Update Date | 2019-12-27 |