| NPI | 1730448929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HARRISON Owner/Director 301-675-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |