| NPI | 1710348198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVERIA NASIR Owner 202-361-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NC 10126) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |