| NPI | 1871779819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEDRICK EDWIN SAWYERR Executive Director/CEO 301-358-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD DDA-17939-07) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MD DDA-17939-07) | |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2008-01-20 |