| NPI | 1629710389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHINAVIA MCKINNEY COO 301-270-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |