| NPI | 1801491907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM GEORGE COO 202-878-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |