| NPI | 1932347630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERESFORD E. DAVIS President 240-832-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-04 |