| NPI | 1912752221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY VICKERIE CFO 240-676-6189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |