| NPI | 1710206412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY HAYNES CEO 202-276-8344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |