| NPI | 1962588145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODERA VALENTINE IJOMAH Program Administrator 301-925-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD 252508) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-06-18 |