| NPI | 1639356090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD RAGHUNANDAN CFO CEO 202-518-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |