| NPI | 1720383730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALHAJI SESAY License Practical Nurse 703-537-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2011-01-22 |
| Last Update Date | 2011-01-22 |