| NPI | 1851825897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAHOM BERHE HAGOS Psr 202-642-7503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NV NV20171076228) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |