| NPI | 1972768554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS LEWIS Director Of Operations 301-565-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |