| NPI | 1760371017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN WOODS Owner 202-423-9242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |