| NPI | 1790321800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE TCHOUKOUAHA Owner/CEO 703-277-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2019-11-24 |