| NPI | 1912152331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRU NICHOLAS NDE Owner 202-758-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |