| NPI | 1679831119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL WODIEU KOUATCHOU Home Health Aide 202-529-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-03 |