| NPI | 1922551415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIATU CONTEH Director Of Services 703-884-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2241) |
| Additional Taxonomies | 251C00000X (Licence: VA 2241) |
| 251S00000X Community/Behavioral Health (Licence: VA 2241) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2241) | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |