| NPI | 1922659713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GASTON A BOMA President 202-714-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |