| NPI | 1669949905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALAMATU KAMARA CEO/Owner 571-225-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |