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 |