| NPI | 1659494144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODWELL BUCKLEY Administrator 202-291-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |