| NPI | 1932882503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATU FORNAH Director 240-380-8406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |