| NPI | 1942905815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOZY MSINA Owner 240-510-6518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-11-29 |