| NPI | 1710712161 |
|---|---|
| Doing Business As | GRACEWELL RESIDENTIAL HOME |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DICKSON CEO 301-990-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |