| NPI | 1770108268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANATOU BAH Director 240-601-8162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |