| NPI | 1790332971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARY OBI Director 301-326-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |