NPI | 1871965400 |
---|---|
Entity Type | Organization |
Authorized Contact | GWENDOLYN ZECHA CFO 301-896-4262 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD 4773-08) |
Enumeration Date | 2015-10-22 |
Last Update Date | 2015-10-22 |