| NPI | 1689223224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER OBENG Program Director 703-496-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |