| NPI | 1801612064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA CARDOZA Owner/Director 240-583-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |