| NPI | 1851416523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E BELL Chief Operating Officer 703-221-2354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: VA 75502006) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 75501001) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |