| NPI | 1821804543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENEDI AMBAN Owner 301-305-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |