| NPI | 1962874875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN ZECHA CFO 301-896-4262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MD 4996) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2017-01-30 |