| NPI | 1770226052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONIKA BISHOP Owner 202-793-9692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-04-15 |