| NPI | 1659105807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISATU BARRIE CEO 240-444-3942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |