NPI | 1891167706 |
---|---|
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 MH-1045) |
Enumeration Date | 2015-10-30 |
Last Update Date | 2015-10-30 |