| NPI | 1790316388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE WARAH Director 301-455-7982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2020-02-01 |