| NPI | 1023356847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE JACQUELINE CRADDOCK Program Director 301-738-2250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MD 15 007 C) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |