| NPI | 1659805828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDINE HITCHMON Director Of Clinical 202-779-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL SW12345) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: FL SW12345) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: FL SW12345) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL SW12345) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL SW12345) | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: FL SW12345) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL SW12345) | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-05-09 |