| NPI | 1780196915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON PEAY CEO 202-680-9951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2019-08-16 |