| NPI | 1871058404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MABINTI KAMARA Director 703-223-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |