| NPI | 1942695895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAWRENCE SLAUGHTER Executive Director 301-440-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-07-21 |