| NPI | 1699027003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JMAES FONG Adminitrator 202-361-8012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |