| NPI | 1902669724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MAHAGA CEO 240-890-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-03-22 |