| NPI | 1699958348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ALANE GRAHAM CEO 301-306-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DC 039138700) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |